Most Relevant Information
Provider Data
| NPI Number: | 1003214792 |
| Provider Name: | KAITLYN MARIE GREEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 88897 |
Most Important Dates
| Enumeration Date: | 12/11/2014 |
| Last Updated: | 06/14/2023 |
Provider Practice Location
2580 VICTOR AVE STE C
REDDING
CA
960021455
Practice Location Phone/Fax
| Phone: | 5309414005 |
| Fax: |
Provider Mailing Location
2580 VICTOR AVE STE C
REDDING
CA
960021455
Provider Mailing Phone/Fax
| Phone: | 5309414005 |
| Fax: |